Individual
ELIZEBA SAMOEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 WINDSOR DR, ALLEN, TX 75002-4003
(469) 269-7330
Mailing address
512 WINDSOR DR, ALLEN, TX 75002-4003
(469) 269-7330
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332333
TX
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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